Abdominal injury is an important aspect of trauma because of difficulty in diagnosis and its lethal potential if not properly treated. Fifty cases of abdominal injury admitted in the surgical wards of Rajshahi Medical College Hospital over 2 years have been studied here. All the patients underwent laparotomy for their management. The age range of the patient was 14 to 70 years and most commonly involved age group was 21 to 30 years. Male to female ratio was 15.6:1. The incidence of penetrating injury predominated (64%) over non-penetrating injury and majority had stab injuries. Road traffic accident predominated in blunt injury. Small gut injury outnumbered all other injuries in both groups. Abdominal pain was the most frequent symptom. Most of the patient arrived in the hospital within 24 hours. Considering clinical presentations and results of investigations, decision for laparotomy was taken with prior resuscitation.
, Dayem Uddin
, ARM Saifuddin Ekram
. AbstractA 40-year-old female presented with tuberculous cervical lymphadenopathy developed within three months of total thyroidectomy operation. Her thyroid lesion was a nodular goiter harboring occult papillary carcinoma. Aspiration cytology and histopathology of lymph node revealed granulomatous lymphadenitis of tuberculous type. The patient was treated with conventional antituberculous four-drug regime for 6 months and was followed up for subsequent two years. Our country is considered as an endemic goiter area and Occult papillary carcinoma is therefore, not an uncommon disease here. Tuberculosis is a communicable disease also seen frequently here. But development of tuberculous lymphadenitis in a postoperative Thyroidectomy patient has not been reported before, as per authors knowledge goes. This case has therefore been reported here with a brief review of the literature. This is also emphasized here, that occult papillary carcinoma is possibly a nonlethal curable disease when treated by conservative surgery. Radical surgical or total thyroidectomy is unnecessary in the treatment of the disease. Postoperative nodal metastasis is also of very rare occurrence with these cases.
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